Program in Occupational Therapy, Washington University School of Medicine, St. Louis, MO, USA.
Department of Communication Sciences and Disorders, MGH Institute of Health Professions, Boston, MA, USA.
Top Stroke Rehabil. 2023 Mar;30(2):180-192. doi: 10.1080/10749357.2021.2008597. Epub 2021 Dec 8.
Participation in daily activities is the ultimate goal of stroke rehabilitation. Emotional factors have been considered as contributors to participation, but associations between emotional factors and participation post-stroke have not been fully explored.
To investigate the extent to which emotional factors contribute to participation post-stroke.
73 participants were included. Three participation outcomes were used as dependent variables in three models: (1) Stroke Impact Scale (SIS) Participation/Role Function, (2) Activity Card Sort (ACS), and (3) Reintegration to Normal Living (RNL). Main independent variables were six emotional factors: SIS Emotion Function (General emotion), Visual Analog Mood Scale energetic and happy subscales, Patient Health Questionnaire-9 (Depression), State-Trait Anxiety Inventory-Trait Anxiety Scale, and Apathy Evaluation Scale. Covariates of stroke severity and social support were included.
Model 1 showed stroke severity (β = -0.300) and depression (β = -0.268) were significant contributors to SIS Participation/Role Function (R = 0.368, < .05). Model 2 indicated that happiness (β = 0.284) and apathy (β = -0.330) significantly contributed to ACS total activity retention (R = 0.247, < .05). Model 3 revealed that anxiety (β = -0.348), apathy (β = -0.303), stroke severity (β = -0.184), and social support (β = 0.185) were significant contributors to RNL total score (R = 0.583, < .05).
Results suggested that emotional measures of apathy, depression, anxiety, and happiness, but not general emotion, were important contributors to participation post-stroke. These findings suggest that rehabilitation professionals should address individual emotional contributors to facilitate participation post-stroke.
参与日常活动是中风康复的最终目标。情绪因素被认为是参与的促成因素，但情绪因素与中风后参与之间的关联尚未得到充分探索。
调查情绪因素在多大程度上促进中风后的参与。
纳入 73 名参与者。三个参与结果被用作三个模型中的因变量：（1）中风影响量表（SIS）参与/角色功能，（2）活动卡片分类（ACS），和（3）正常生活再融入（RNL）。主要自变量为六个情绪因素：SIS 情绪功能（一般情绪）、视觉模拟情绪量表能量和快乐分量表、患者健康问卷-9（抑郁）、状态-特质焦虑量表特质焦虑量表和淡漠评估量表。包括中风严重程度和社会支持的协变量。
模型 1 显示中风严重程度（β=-0.300）和抑郁（β=-0.268）是 SIS 参与/角色功能的重要贡献者（R=0.368，<0.05）。模型 2 表明，快乐（β=0.284）和淡漠（β=-0.330）显著有助于 ACS 总活动保留（R=0.247，<0.05）。模型 3 表明，焦虑（β=-0.348）、淡漠（β=-0.303）、中风严重程度（β=-0.184）和社会支持（β=0.185）是 RNL 总分的重要贡献者（R=0.583，<0.05）。
结果表明，淡漠、抑郁、焦虑和幸福感等情绪测量指标，而不仅仅是一般情绪，是中风后参与的重要贡献者。这些发现表明，康复专业人员应针对个体情绪贡献者进行干预，以促进中风后的参与。
